| NPI | 1457632499 |
|---|---|
| Doing Business As | MILE HIGH MENTAL HEALTH SERVICES |
| Entity Type | Organization |
| Authorized Contact | PERCY IRVING President & COO 510-385-4456 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Additional Taxonomies | 225400000X Rehabilitation Practitioner |
| Enumeration Date | 2011-09-05 |
| Last Update Date | 2011-09-05 |